GARY B SULLIVAN MD
NPI 1659334597
Specialist in Statesboro, GA

Q: What is Gary Sullivan's NPI number?

The NPI number for Gary Sullivan is 1659334597. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Gary Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Sullivan was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment

1523 FAIR RD, STATESBORO, GA 30458(912) 871-2000(912) 871-2500 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gary B Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY B SULLIVAN MD (NPI 1659334597) is an individual specialist in Statesboro, Georgia, licensed in Georgia (30224) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Creighton University School Of Medicine (1977).

NPPES Registry Identity

NPI1659334597

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGARY B SULLIVANCredential: MD

Location Address1523 FAIR RDStatesboro, GA 30458-6025

Mailing AddressPo Box 1958Statesboro, GA 30459-1958 · (912) 871-2000 · Fax (912) 871-2500

Phone(912) 871-2000

Fax(912) 871-2500

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1977

Enumeration DateApril 11, 2006

Last NPPES UpdateMarch 31, 2011

✔ NPI 1659334597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 30224

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1523 FAIR RD, Statesboro, GA 30458

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Other Identifiers 3

Medicaid000353955CGA

Medicare UPIND41196GA

Medicare ID-Type Unspecified16BDGCHGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary B Sullivan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133295629

PECOS Enrollment IDI20120103000531

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Gary Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Women's Surgery Center, LLC

Same address

Ambulatory Surgical

1523 FAIR RD
Statesboro, GA 30458

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1831301050 (912) 871-3000

Statesboro Ob-Gyn Specialists, PC

Same address

Specialist

1523 FAIR RD
Statesboro, GA 30458

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1841348521 (912) 871-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services19 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

16 services16 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110075

Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

76%272 patients4/55-star benchmark: 93%

Cervical Cancer Screening

93%1,148 patients4/55-star benchmark: 98%

Controlling High Blood Pressure

67%51 patients3/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

21%1,223 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

14%2,768 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,313 patients

0%1,313 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIMI PATEL PA-C

Physician Assistant